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The Ohio River ends at the confluence with the Mississippi River at Cairo, Illinois. This confluence borders Kentucky, Illinois and Missouri. Even though the Ohio River is much wider and carries more water than the Mississippi where they meet, the Ohio is considered the tributary to the Mississippi.
From a geological standpoint, the Ohio River is young. The river formed on a piecemeal basis beginning between 2.5 and 3 million years ago. The earliest ice ages occurred at this time and dammed portions of north-flowing rivers. The Teays River was the largest of these rivers. The modern Ohio River flows within segments of the ancient Teays.